Shannon Kelly, LCSW
NPI 1205187788 · Social Worker · Ventura, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Kelly, LCSW is a Social Worker provider in Ventura, CA (NPI 1205187788).
Provider details
- NPI number
- 1205187788
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- LCSW75222 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2019-03-07
Frequently asked questions
- What is Shannon Kelly's NPI number?
- Shannon Kelly's National Provider Identifier (NPI) is 1205187788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Kelly's specialty?
- Shannon Kelly is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Kelly located?
- Shannon Kelly's practice location on file with NPPES is 200 S Wells Rd Ste 250, Ventura, CA 93004-1383.
- What is Shannon Kelly's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kelly is (805) 647-0991.
- Does Shannon Kelly accept Medicare?
- Shannon Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Kelly's NPI active?
- Yes — Shannon Kelly's NPI (1205187788) is active in the NPPES registry as of the last update on 2019-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.